| NPI | 1932773983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 10372) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 10372) |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2023-02-02 |